PAMELA KEELEY CASSELL FNP NPI 1366687121

NPI Information

NPI: 1366687121
Provider Name: PAMELA KEELEY CASSELL, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
4461 STARKEY RD
STE 201
ROANOKE, VA
ZIP 24018
Phone: (540) 375-3790
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Pamela Keeley Cassell, FNP is a family nurse practitioner in Roanoke, VA. Pamela Keeley Cassell, FNP NPI is 1366687121. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4461 STARKEY RD
STE 201
ROANOKE, VA
ZIP 24018-622
Phone: (540) 375-3790
Fax: (540) 375-8621

The enumeration date for this NPI number is 12/9/2008 and was last updated on 7/7/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	0024167984	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1366687121	MEDICAID	VIRGINIA
2	MC12133	OTHER		MEDICARE
3	P00679395	OTHER		RR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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